Cal. Code Regs. tit. 10 § 2237.2

Current through Register 2024 Notice Reg. No. 50, December 13, 2024
Section 2237.2 - Definitions

As used in this regulation:

(a) "Group disability income policy" means a group insurance policy providing indemnity for loss-of-time issued or issued for delivery in this State pursuant to the provisions of Insurance Code Section 10270.5 under which eligibility for coverage is restricted substantially to employees of California school districts, whether insured as members of an association or as employees of a school district, and which contains a reduction of benefits provision.
(b) "Reduction of benefits provision" means a provision in a group disability income policy permitting the insurer to reduce the disability income benefit payable thereunder by an amount equal to all or part of the benefits the insured receives or is entitled to receive under any other group disability income policy.
(c) "Duplicating insurance" means the coverage of the same California school district employee under two or more group disability income policies.
(d) "Net benefit" means the amount of benefit payable under a group disability income policy prior to the application of a reduction of benefits provision, but after deducting all other items to be subtracted to determine benefits as provided in the group disability income policy (e.g., Social Security payments, workmen's compensation, etc.).
(e) "Maximum net benefit" means in the case of duplicating insurance the higher or highest net benefit payable under any of the group disability income policies under which the employee is entitled to receive benefits.

Cal. Code Regs. Tit. 10, § 2237.2